-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, UuZdwH57Z1kiNIybmsw0RUmX//LwBLLSkSiFlVrc9rwclTAbj5N+s31ErQr/zQic 4i2o4X3uXxqeQA2QqlvhNw== 0001354488-11-000075.txt : 20110105 0001354488-11-000075.hdr.sgml : 20110105 20110105172126 ACCESSION NUMBER: 0001354488-11-000075 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110103 FILED AS OF DATE: 20110105 DATE AS OF CHANGE: 20110105 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Alliqua, Inc. CENTRAL INDEX KEY: 0001054274 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 582349413 STATE OF INCORPORATION: FL FISCAL YEAR END: 1220 BUSINESS ADDRESS: STREET 1: 850 THIRD AVENUE STREET 2: SUITE 1801 CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 800-518-4879 MAIL ADDRESS: STREET 1: 850 THIRD AVENUE STREET 2: SUITE 1801 CITY: NEW YORK STATE: NY ZIP: 10022 FORMER COMPANY: FORMER CONFORMED NAME: HEPALIFE TECHNOLOGIES INC DATE OF NAME CHANGE: 20030529 FORMER COMPANY: FORMER CONFORMED NAME: ZETA CORP DATE OF NAME CHANGE: 20030219 FORMER COMPANY: FORMER CONFORMED NAME: ZETA CORP /CA DATE OF NAME CHANGE: 20000303 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOLDBERG MICHAEL M CENTRAL INDEX KEY: 0000905011 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29819 FILM NUMBER: 11511765 MAIL ADDRESS: STREET 1: C/O MONTAUR CAPITAL PARTNERS STREET 2: 152 WEST 57TH STREET, 4TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10019 4 1 issuerdirect_section16.xml PRIMARY DOCUMENT X0303 4 2011-01-03 0 0001054274 Alliqua, Inc. ALQA 0000905011 GOLDBERG MICHAEL M 850 THIRD AVENUE SUITE 1801 NEW YORK NY 10022 1 Stock Option (right to buy) 0.135 2011-01-03 4 A 0 250000 0.00 A 2011-01-03 2021-01-03 Common Stock 250000 250000 D Represents stock options granted to and accepted by the reporting person on January 3, 2011 pursuant to the Alliqua, Inc. 2001 Incentive Stock Plan. /s/ Michael Goldberg 2011-01-05 -----END PRIVACY-ENHANCED MESSAGE-----